Provider Demographics
NPI:1447057005
Name:DUKE, TAYLOR JO
Entity type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:JO
Last Name:DUKE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1690 BELTLINE RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5616
Mailing Address - Country:US
Mailing Address - Phone:256-617-3118
Mailing Address - Fax:
Practice Address - Street 1:ABA SERVICE PROVIDERS
Practice Address - Street 2:1690 BELTLINE RD SW
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601
Practice Address - Country:US
Practice Address - Phone:256-617-3118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician